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DR. WILLIAM N ROSENTHAL M.D.F.A.C.S.
NPI 1043218415
Ophthalmology - Retina Specialist in Overland Park, KS

Active since July 11, 2005PECOS EnrolledAccepts Medicare Assignment
97.96/100
CMS Quality Rating
10740 NALL AVENUE, SUITE 220, OVERLAND PARK, KS 66211(913) 663-5900(913) 663-5902 Get Directions Write a Review

NPPES record last updated: July 24, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Apr 17, 2024, Aug 29, 2023 (2 updates tracked since 2023).

About Dr. William N Rosenthal M.d.f.a.c.s. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. WILLIAM N ROSENTHAL M.D.F.A.C.S. (NPI 1043218415) is an individual retina specialist in Overland Park, Kansas, licensed in Missouri (36399) and active in the NPI registry since July 2005. He is enrolled in Medicare PECOS, is affiliated with St Lukes Hospital Of Kansas City, and is a graduate of University Of Missouri, Kansas City, School Of Medicine (1982).

NPPES Registry Identity

NPI1043218415
Entity TypeIndividualMale
Primary Taxonomy207WX0107X
Provider Legal NameDR. WILLIAM N ROSENTHALCredential: M.D.F.A.C.S.
Location Address10740 NALL AVENUE, SUITE 220Overland Park, KS 66211
Mailing AddressPo Box 843330Kansas City, MO 64184 · (913) 663-5900 · Fax (913) 663-5902
Phone(913) 663-5900
Fax(913) 663-5902
Sole ProprietorYes
Medical School CMSUniversity Of Missouri, Kansas City, School Of MedicineGraduated 1982
Enumeration DateJuly 11, 2005
Last NPPES UpdateJuly 24, 20252 updates tracked since enumeration
NPPES CertifiedJuly 24, 2025
✔ NPI 1043218415 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOphthalmology · Retina SpecialistAllopathic & Osteopathic Physicians
Taxonomy Code207WX0107X
License✔ Licensed in MO · 36399
Definition
An ophthalmologist who specializes in the diagnosis and treatment of vitreoretinal diseases.
10740 NALL AVENUE, Overland Park, KS 66211
Open in Google Maps ↗

Other Identifiers 4

Other14593019MO · Bluecross Kansas City
Other495486KS · Blue Cross Kansas
Other180041080KS · Railroad Medicare Pin
Other180011639MO · Medicare Railroad Pin

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Kansas City, Blue Cross and Blue Shield of Kansas, Inc. and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. William N Rosenthal M.d.f.a.c.s. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID3779553862
PECOS Enrollment IDI20050512000879, I20111005000669
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 10

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Extended exam of the back part of the eye with retinal drawing 92201
This procedure involves a detailed examination of the back part of your eye, including the retina. It helps identify any abnormalities or issues. A retinal drawing is made to record findings. It's non-invasive and crucial for maintaining eye health.
2,082 services831 patients
Imaging of retina 92134
Imaging of the retina is a non-invasive procedure that captures detailed images of your eye's interior. This helps detect conditions like macular degeneration or retinal detachment. It's painless and takes only a few minutes.
2,017 services828 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
1,849 services786 patients
Injection of drug into eye 67028
An injection into the eye is a procedure where a medication is delivered directly into your eye to treat various conditions. A local anesthetic is applied to numb the eye, ensuring minimal discomfort. The drug helps manage diseases like macular degeneration or diabetic retinopathy.
374 services171 patients
Unclassified biologics J3590
Unclassified biologics are a type of treatment derived from living organisms. They can include a wide range of substances, such as vaccines, blood components, or genes, used to prevent or treat diseases. Each is specifically designed to interact with the body's natural defenses to promote healing.
333 services165 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
81 services81 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

St Lukes Hospital Of Kansas City

Acute Care Hospitals · Kansas City, MO
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number260138
Location4401 Wornall RoadKansas City, MO 64111 · Jackson County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 66211 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$122.41 typical visit price
range $53.00 – $161.67
Typical copayment $30.60 (range $13.25 – $40.41)
Most-billed visit code 99204
Established Patient
$66.40 typical visit price
range $16.88 – $132.11
Typical copayment $16.60 (range $4.22 – $33.02)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

97.96/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality95.93
Improvement Activities40

Reported Quality Measures

Diabetes: Eye Exam
89%359 patients4/55-star benchmark: 100%
Diabetic Macular Edema - Loss of Visual Acuity
100%28 patients
Falls: Screening for Future Fall Risk
55%1,519 patients3/55-star benchmark: 100%
Overuse of Imaging for the Evaluation of Primary Headache
Lower rates are better for this measure.
0%31 patients
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Patients combinedPopulations: 85% · 1,056 patients
Patients screened: 86% · 1,056 patients
91%46 patients4/55-star benchmark: 100%
Use of High-Risk Medications in Older Adults
Lower rates are better for this measure.
Patients appropriateDiagnosis: 0% · 1,557 patients
Patients totalRate: 0% · 1,557 patients
0%1,557 patients5/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MID-AMERICA RETINA CONSULTANTS PA
Ophthalmology (Retina Specialist)
10740 NALL AVENUE, SUITE 220
OVERLAND PARK, KS 66211
Johnson County (913) 663-5900

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is William Rosenthal's NPI number?

The NPI number for William Rosenthal is 1043218415. It was assigned to this individual provider in the NPPES registry on July 11, 2005.

Where is William Rosenthal located?

William Rosenthal practices at 10740 Nall Avenue Suite 220, Overland Park, KS 66211. The listed phone number is (913) 663-5900.

What is William Rosenthal's specialty?

The primary specialty registered for this NPI is Ophthalmology, specializing in Retina Specialist, with taxonomy code 207WX0107X.

Is William Rosenthal enrolled in Medicare?

Yes. William Rosenthal is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does William Rosenthal accept?

Health plans from Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Kansas City, Blue Cross and Blue Shield of Kansas, Inc. and UnitedHealthcare list William Rosenthal as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is William Rosenthal affiliated with any hospitals?

According to CMS data, William Rosenthal is affiliated with St Lukes Hospital Of Kansas City.

When was this NPI record last updated?

The NPPES record for William Rosenthal was last updated on July 24, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.